Individual
HEATHER R PENNIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
482 HAWTHORNE DR NE, NORTON, VA 24273-2970
(276) 437-3000
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001202291
VA
208M00000X
Hospitalist Physician
0024175335
VA
363LF0000X
Family Nurse Practitioner
Primary
0024175335
VA
Other
Enumeration date
09/13/2017
Last updated
11/14/2025
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